Active NPI
Sandra Hines Glantz, FNP
- Family Nurse Practitioner
- Rochester, NY
National Provider Identifier
1881663052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F330495
- Practice address
- 3690 East Ave
Rochester, NY 14618-3537 - Phone
- (585) 385-8280
- Fax
- (585) 385-8299
- NPI assigned
- Mar 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F330495 | NY | Primary |
Addresses
Primary practice location
3690 East Ave
Rochester, NY 14618-3537
Mailing address
3690 East Avenue
Rochester, NY 14618
Phone (585) 385-8280
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PO19419394 | Other | NY | BLUE CHOICE |
| 7108 | Other | TOTAL CARE | |
| OF330495 | Medicaid | NY | |
| 000924648001 | Other | COMMUNITY BLUE HEALTH NOW | |
| 109390CK | Other | NY | PREFERRED CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F330495 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443398400000",
"number": "1881663052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3690 EAST AVENUE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14618",
"telephone_number": "585-385-8280",
"fax_number": "585-385-8299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3690 EAST AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146183537",
"telephone_number": "585-385-8280",
"fax_number": "585-385-8299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLANTZ",
"first_name": "SANDRA",
"middle_name": "HINES",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2015-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F330495",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "PO19419394",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TOTAL CARE",
"identifier": "7108",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OF330495",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY BLUE HEALTH NOW",
"identifier": "000924648001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "109390CK",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.